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- ...JOB SUMMARY We are seeking a skilled Utilization Review Coordinator (URC) to oversee patient insurance certification, compliance with governmental regulations related to hospital stays, and the prevention of denials. Embedded within our utilization review management...
- ...The Manager, Utilization Review is responsible for overseeing the daily operations of the Utilization Review for one of our clients and leading a team of Utilization Review Nurses. This role involves ensuring efficient care coordination, managing healthcare costs, and...
- ...Job Summary : We are seeking a highly motivated and experienced Utilization Review Nurse to join our team. The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective...
- ...The Reviewer is responsible for assessing the delivery of medical services to determine if the care provided is appropriate, medically necessary, and of high quality. This includes examination of documents to see if patients are given care consistent with their needs...
- ...Utilization Review Nurse Location: Philippines About Us: HBiz is a leading Revenue Cycle Management (RCM) company dedicated to helping healthcare providers optimize their financial performance. We specialize in delivering innovative solutions that streamline revenue...
- ...Human Transcription Reviewer | Remote Apply here: About the Role We are seeking highly detail-oriented and exceptionally strong English communicators to join our team as Human Transcription Reviewers. In this role, you will listen to recorded audio conversations...Remote job
- ...We are looking for a USRN Utilization Review Specialist responsible for reviewing clinical information, medical records, and patient cases to determine the medical necessity, appropriateness, and level of care based on established clinical guidelines and payer requirements...
- ...LCD Guidelines Key Responsibilities Conduct clinical reviews of inpatient and outpatient services using InterQual, MCG, NCD... ...license at least 1 year of clinical nursing experience in utilization review or case management experience preferred. Must have...
4.55 $ per hour
...About the Role: Review pre-segmented audio recordings, verify word-level segment accuracy, and correct timestamp or transcription errors... ...for speech-to-speech AI models Location: India/ Philippines (Remote) Engagement Type: Freelance (Pilot) Rate: USD 4.55/hour...- ...Job Title : USRN Utilization Management Nurse – Prior Authorization / Concurrent Review Location: Vertis North, Quezon City, Philippines Work Setup: Onsite Shift: US Day Shift Job Description : We are hiring Clinical Utilization Management Nurse Specialists...
4.03 $ per hour
...About the Role We are looking for a detail-oriented QC Reviewer to review robot manipulation video annotations and ensure accuracy,... ...consistency, and adherence to project guidelines. Location: Remote Type: Freelance Rate: $4.03/hour Key Responsibilities...- ...from fraudulent accounts by doing thorough investigations and reviews of all accounts being processed. 2. Conduct a thorough analysis... ..., and identify any potential discrepancies or red flags. 6. Utilize financial models and tools to assess credit proposals' viability...
- ...tell their stories visually, helping us set the standard for visual content worldwide. About the role: As a Photo Quality Reviewer (QA) on this team, you will be responsible for ensuring that every photo delivered to our customers meets Snappr's high standards...
- ...Review and revise QC reports Once the Team receives the Report, they need to review it 1 by 1 and check the following: # Correct text format, words and spelling, # Photos are clear and in correct size, # Have all customer requirements been checked, etc. # If...
- ...Review all accounts carefully to protect the company from fraud. Analyze loan applications, financial documents, credit reports, and other materials to check if borrowers are financially reliable. Assess the risk of lending by looking at income stability, debt levels...
- ...with a global team across Australia, New Zealand, the United States and the Philippines. Role Overview You'll be a technical reviewer of Australian tax and compliance work. Returns, working papers and financial statements arrive prepared and ready for review -...
- ...Job Description Job Overview The Utility Coordination Specialist serves as the central communication and documentation hub between... ...and accurate status reports using Excel for Project Manager review. Requirements Qualifications & Requirements Experience...
- Maintaining cleanliness and order in various settings, including homes, hotels, and commercial spaces. Their responsibilities include cleaning, sanitation, and restocking supplies, often adhering to specific standards and safety regulations. -with work experience -able...
- ...Utility Worker Location: Imus Cavite Employment Type: Contractual Responsibilities Assist with loading and unloading items in the warehouse Organize and arrange goods properly and safely Maintain cleanliness and orderliness of the work area Support...
- ...Remote Explanation: You need to be able to play Mobile Legends: Bang Bang game. Job Responsibilities ~ Review and annotate text generated in games. Working Hours 9:00-18:30 every day, Monday to Saturday are working days. Work Cycle 3 months. Personnel...
- Maintains the cleanliness of various areas in project site such as but not limited to gate and guard house, staff house, and site office. Help support troubleshoot of water and electrical line. Assist in survey works. Qualifications: Candidate must be at least...
- Job Description Pag-linis sa construction site at pag tulong sa pag-aayos ng mga materyales. Tutulong sa paghahakot at pagsasa-ayos ng mga gamit at materyales na idideliver sa warehouse. Minimum Qualifications May advantage ang may kaalaman sa trabaho sa ...
- Perform general cleaning and maintenance tasks to ensure a safe and sanitary environment. Execute disinfection protocols to prevent the spread of germs and viruses. Organize spaces and materials for efficient workflow and accessibility. Assist in the setup and...
- Responsible for cleaning and maintaining company premises At least Highschool Graduate With experience Hardworking and reliable
- ...Hybrid Our Corporate Credit team is looking for experienced professionals to join us in Taguig with the role of Credit Review Officer . In this role, you will provide independent assessments of the credit quality of the bank's corporate portfolio and...
- ...cleanliness, organize workspaces, operate machinery safely, and assist in facility upkeep. Perform general maintenance and repairs on utility systems. Assist with the installation and upkeep of water, electricity, and gas lines. Maintain cleanliness and safety...
- Maintains workplace cleanliness, order, and functionality, performing general cleaning (sweeping, mopping, trash disposal), minor repairs (lights, plumbing, carpentry), groundskeeping (landscaping), running errands, and assisting with material movement and basic maintenance...
- Responsible for maintaining the cleanliness and order of the store, ensuring a positive and welcoming environment for customers. At least less than 1 year of experience At least Highschool graduate SSS PAGIBIG PHILHEALTH
- ...We’re hiring a USRN – Utilization Management Nurse! Location: Taguig (Onsite) Schedule: Day Shift Salary: Up to PHP 70,000... ...USRN) with Utilization Management experience to support clinical review and authorization processes. The role requires strong clinical...
- ...Description Oversee the daily operations and maintenance of utility services. Develop and implement procedures to ensure efficient service delivery. Coordinate with team members to prioritize tasks and manage workloads. Ensure compliance with safety regulations...